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1780937359
SELIN K JACOB
BOISE, ID
NPI
1780937359
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Former Name
SELIN K VARGHESE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM CNP-02040)
Enumeration Date
2012-10-19
Last Update Date
2023-08-17
Business Address
Mrs. SELIN K JACOB FNP-C
444 W FORT ST FL 2
BOISE, ID 83702-4535
Phone number: 208-422-1018
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Mailing Address
Mrs. SELIN K JACOB FNP-C
4221 VENETIAN LOOP LAS CRUCES
LAS CRUCES, NM 88011-4126
Phone number: 575-640-0052
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